Individual
JOMERCY LEANIA SANTOS-ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LUCERNA APTS,, APT 3-H, ED A-3, CAROLINA, PR 00983
(787) 564-1947
Mailing address
LUCERNA APTS,, APT 3-H, ED A-3, CAROLINA, PR 00983
(787) 564-1947
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8002
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4495630
DRIVERS LICENSE
PR
Enumeration date
04/09/2012
Last updated
04/09/2012
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